Provider Demographics
NPI:1144647744
Name:BOURNE, JOAN E (DNP, PMHNP-BC, LMSW)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:E
Last Name:BOURNE
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N POINT CTR E STE 125
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8214
Mailing Address - Country:US
Mailing Address - Phone:770-284-6472
Mailing Address - Fax:
Practice Address - Street 1:100 N POINT CTR E STE 125
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-8214
Practice Address - Country:US
Practice Address - Phone:770-284-6472
Practice Address - Fax:877-862-0076
Is Sole Proprietor?:No
Enumeration Date:2014-03-21
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA298849363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health